Third Party Administrator - Worker's Compensation Claims

The state and local contracting opportunity is for Third Party Administrator (TPA) services for Workers' Compensation claims. The contracting agency is Southwest Key Programs, Inc. (SWK), a national nonprofit organization with operations in over 20 states, including jurisdictions within Travis County and the city of Austin, Texas. SWK is seeking to establish a contract with a qualified TPA firm to provide professional claims services, with the selected TPA expected to begin servicing SWK's Workers' Compensation claims effective January 31, 2024. SWK welcomes proposals that include additional value-added services such as unbundled or bundled workers' compensation program arrangements, claimant mobile phone application access, Medical Provider Networks (MPNs), OSHA 300 digital logs, data analytics, reporting, and loss forecasting. Proposals are due by February 2, 2024, and SWK will evaluate submissions based on criteria such as cost, technical approach, personnel qualifications, past performance, and adherence to SWK's terms and conditions.

The RFP does not specify any set-aside designations or restrictions on the types of organizations that can respond. SWK's current TPA relationship is limited to Workers' Compensation claims only, though respondents are encouraged to share commentary on how they would manage additional lines of coverage should SWK's needs evolve. The Workers' Compensation program is a large deductible ($250,000 per claim) fully-insured program, and the budget or award value range is not provided in the available documentation.